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Dr. James Ruby, LMHC

Experienced LMHC for relationships and life changes
  • Couples and family therapy
  • Grief and transitions
  • 22 years experience

About Dr. James Ruby

Dr. James Ruby is a Licensed Mental Health Counselor (LMHC) with 22 years of experience working with individuals, couples, and families. He brings a calm, thoughtful approach to therapy and focuses on helping people move toward the life they want to live. As an LMHC he holds a professional license to provide mental health counseling and guidance.

He views the past as an important part of a person’s story but not the whole story. Dr. Ruby helps clients learn from earlier experiences while recognizing that thoughts and beliefs formed long ago can change. He supports people in rewriting unhelpful narratives so they can pursue new goals and healthier patterns.

Dr. Ruby attends to multiple dimensions of a person’s life - cognitive, emotional, physical, and spiritual - and helps clients explore how those areas interact. He looks for existing strengths and resources that can be reactivated to support growth. To promote steady progress he sometimes asks clients to complete brief questionnaires or practical exercises between sessions.

He strives to offer a nonjudgmental, understanding atmosphere where feelings such as sadness, anxiety, or frustration can be addressed without excess guilt or shame. Over his career he has helped many people navigate difficult periods and move toward more fulfilling days. He welcomes questions and encourages anyone considering therapy to seek a good match for their needs.

Areas of Expertise

Additional Focus Areas

Caregiver issues and stressCommunication problemsDivorce and separationFamily of origin issuesFamily problemsFatherhood issuesForgivenessHospice and end-of-life counselingIsolation / lonelinessLife purposeMen's issuesSelf-loveWorkplace issuesYoung adult issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Existential Therapy Motivational Interviewing Psychodynamic Therapy

Frequently Asked Questions

How much experience does Dr. James Ruby have?

Dr. James Ruby has 22 years of experience.

Is Dr. James Ruby a licensed therapist?

Yes. He holds the credential LMHC, which stands for Licensed Mental Health Counselor. License details are IA LMHC 122890 and HI LMHC MHC-367.

In which languages does Dr. James Ruby provide therapy?

Dr. James Ruby provides therapy in English.

Where is Dr. James Ruby located?

Dr. James Ruby is located in Hawaii.

How can I work with Dr. James Ruby as my therapist?

You can work with Dr. James Ruby through video calls, phone sessions, live chat, or text-based messaging.

Does Dr. James Ruby work with international clients?

Yes, Dr. James Ruby works with international clients.

How much does therapy with Dr. James Ruby cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Could Remote Therapy Be a Good Fit?



Many people wonder whether meeting with a therapist remotely can truly help. For a range of common concerns - including stress, anxiety, depression, relationship challenges, and navigating life changes - online therapy can be comparable to traditional in-person sessions and is often an effective way to address these issues.

One major benefit is flexibility. People can connect with a therapist in the format that works best for them: video calls, phone sessions, live chat, or text-based messaging. That flexibility makes it easier to fit therapy into a busy schedule or to maintain continuity during life transitions.

Licensed professionals provide care through remote formats, and if someone wants a different therapeutic match they can switch therapists at any time. For many, online therapy offers a practical, accessible path to consistent support from trained therapists.

Ready to start therapy with Dr. James Ruby?

Take the first step toward a better you.